HOLLY J HUMPHREY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

HOLLY J

Last Name

HUMPHREY

Business Name

HOLLY J HUMPHREY

Original Issue Date

04/17/1985

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023